Individual provider Active NPI

Sydney Marie Brewer, PA-C

  • Physician Assistant
  • Macon, GA
National Provider Identifier
1861176273
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
308 Coliseum Dr Ste 200
Macon, GA 31217-3861
Phone
(478) 742-2180
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

308 Coliseum Dr Ste 200
Macon, GA 31217-3861

Mailing address

4717 Brae Burn LN
Macon, GA 31210-4712
Phone (478) 538-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009001305 GA Practitioner - Physician Assistant 7214382449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Care Physicians of Georgia, P.C..Group PAC ID 7517850712, 15 clinicians

Practice addresses (Care Compare)

1210 Commerce Dr
Suite 113114
Greensboro, GA 30642-7447
Phone (478) 742-2180

308 Coliseum Dr
Macon, GA 31217-3861
Phone (478) 742-2180

3758 Hwy 42
Suite 302
Locust Grove, GA 30248-3653
Phone (478) 742-2180

910 N 5TH St
Cordele, GA 31015-3254
Phone (229) 271-4652

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as group
Quality
81.19
Promoting interoperability
99
Improvement activities
40
Cost
34.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1861176273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 BRAE BURN LN",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104712",
            "telephone_number": "478-538-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 COLISEUM DR STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173861",
            "telephone_number": "478-742-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "SYDNEY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.